Individual
MR. JAKE JAMES CHANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
5601013307
MI
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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